- USAA (Colorado Springs, CO)
- …and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes. Prioritizes and manages assigned claims workload ... special and impactful. The Opportunity As a dedicated Injury Examiner , you will be responsible to adjust complex...you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to… more
- Everest Insurance (Warren, NJ)
- Title: Reinsurance Senior Claims Examiner II Company: Everest Global Services, Inc. Job Category: Claims Job Description: Everest Group, Ltd. (Everest), is a ... , and assuring client satisfaction in a timely fashion. Support underwriting team needs for claim information... information and consultation on coverage. Evaluate and settle claims , applying technical knowledge and people skills to effect… more
- Absolute Staffing & Consulting Solutions (New York, NY)
- Absolute Staffing & Consulting Solutions is looking for a Workers Compensation Claims Examiner to join our team of professionals in New York. If the description ... below sounds like you, Apply Now! Salary: 75k-85k Claims Examiner - Workers Compensation Are you looking...action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims … more
- OneMain Financial (Fort Worth, TX)
- Job Description Claims Examiner Intermediate The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily one ... correspondence with internal and external customers. Research additional information to support claim processing. Perform benefit calculations. Conduct claim… more
- Berkley (Moorestown, NJ)
- …Company is an equal employment opportunity employer. Responsibilities The Multi-Line Senior Claims Examiner is responsible for determining and discharging the ... lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and...coverage is in question, and/or when paying or denying claims . Review trade journals, Unfair Claim Practice… more
- Howard County, MD (Ellicott City, MD)
- …relationships: Serve as primary liaison between the boards and the Hearing Examiner , County Council, Office of Law, and relevant County departments (Planning & ... & Communications) to ensure efficient case processing and policy implementation. Support legislative and policy development: Research policy and legal issues; draft… more
- CACI International (Chantilly, VA)
- Senior Claims Examiner Job Category: Finance and...Compensation claims are reviewed and approved by Claims Examiners promptly + Ensure Claim forms ... pro-active, critical thinker to manage and review workers' comp claims as a Claims Examiner ....accurate code for injury or illness based on the claim form and enter it into the claims… more
- AIG (Lenexa, KS)
- Claims Examiner II, A&H At AIG, we are...efficiency. How you will create an impact The Personal Accident Claim Examiner will be responsible to handle all ... help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to...aspects of claim resolution for assigned claims while providing… more
- FM (Waltham, MA)
- …research assignments, and preparation/ support for reinsurance audits conducted by Senior Claims Examiner . **Qualifications** **5 - 8 years of related work ... for this position **Responsibilities** We are seeking a Casualty Claims Examiner to join our team of...evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices… more
- Sedgwick (Roseville, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY PURPOSE** : ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is...Reviews and ensures the accuracy of all changes to claim line information based on information received from other… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... with internal and external customers. + Research additional information to support claim processing. Perform benefit calculations. Conduct claim… more
- State of Montana (Helena, MT)
- …may be covered by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will: * Assist the public ... claim process, utilizing the external customer oriented online claims system to file the claim . *...the application process, please contact the HR office. **Title:** * Claims Examiner 2 - Temporary* **Location:** *Helena*… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Sr Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... High School (Required) **Work Experience:** Legal **Job Opening ID:** 00596387 Sr Claims Examiner (Open) **_"This job description has been designed to… more
- ICW Group (Sacramento, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. **ESSENTIAL DUTIES… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... States (US). + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
- Molina Healthcare (Orlando, FL)
- …types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and production standards. + Meet ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
- Thrivent Financial (WI)
- …liability within established guidelines. This position is accountable for analyzing claims to determine benefit/contract eligibility and processing claim ... Duties and Responsibilities + Determine extent of liability on routine and non-routine claims and make final claim decisions within specified dollar limits.… more
- State of Montana (Helena, MT)
- …position is open until filled with frequent screening of applicants. **Title:** * Claims Examiner 2 (11722)* **Location:** *Helena* **Requisition ID:** *25141497* ... with the Health Resources Division. This position is a Medicaid Claims Specialist and provides technical support primarily in the areas of disputed or pending … more
